| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,997.42 | $5,997.42 | $7,496.78 |
New Technology - Level 33 ($7501-$8000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,997.42 | $5,997.42 | $7,496.78 |